Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00728 | Date 14/01/2020 |
| Token No | SM/19-20/1631 17/01/2020 | Serial | 030 |
| Patient Name | Mrs. ALPANA DEY | Contact No | 9088143651 |
| Address | 35/C TARAPUKUR LANE SERAMPORE 712203 | Age | 43 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||